Search the Community

Give yourself time! When you press the brake in your car, it takes time to come to a complete stop. The same is true when you try to go from losing to maintaining. It's hard to know immediately if you are eating the right amount, especially with a significant amount of exercise like you're doing. As you are learning, you've got to EAT to fuel that level of activity and it can be stressful for us formerly fat people to eat at levels that at one time would have led to weight gain. Track things for a month or so and see where you end up. If you continue to lose, then you obviously need to eat even more. If you seem to be maintaining within a few pounds (keeping in mind normal fluctuations), you're probably where you need to be. If, heaven forbid, you do start to gain again, just ease off a tiny bit on the calories and you'll stabilize. Whatever you do, don't stress it, because you now have all the knowledge and tools to stay at the weight you want!

Jamielogical thank you for your inspiring words of motivation I had the VSG about 3 years ago and regain weight to the point I was thinking there is no way to get it back off. After reading your story I have the motivation I needed to not give up the fight and reclaim myself.

I haven't checked in in a while. I got super busy with haunt season starting and getting into the groove of working weekends. So far, everything has been going well. I haven't had any dumping, overeating, etc. I'm on regular diet now with a daily goal of 64oz of protein but I blow through that and usually hit over 100. I am still supplementing with a Fairlife either for breakfast or a snack before going to the gym. Last night was my first time eating out out (I've done Sunday breakfast but it's always an egg). We went to BJs and it's crazy how hyperaware you become of portions. In the past, we would get an app, entree, and dessert. My kids are having "sympathy pains" and have started eating smaller portions so we only got entrees. In the past, I would have gotten a burger or sandwich with fries and eaten the whole thing. I ended up getting a chicken breast dish and brought enough home to have lunch for the next two days. The weight loss has been up and down since I weigh daily right now. I won't say I've stalled because if I just looked at my Monday entries, it shows a consistent loss. This week is the first week that people have noticed and I can see a difference when I look in the mirror. I donated almost half my closet of size 18/20 items that were just too big. I'm in a size 16, almost a 14 and I went from a 2XL shirt to a large.

I think my reasoning is because I am low key freaking out because I am *done* losing weight and maintaining and I have never ever ever ever been in this position. Always losing or gaining. So eating close to 2000 calories a day and only being 8months post op, my mind is telling me that I am going to start gaining and this is not sustainable. I have never stayed this active this long either lol Its just a new life that I am not used to, and this week I am panicking (WEIRD!) I am sure that I need to talk to a therapist LOL but you guys are it for me at this moment. 🤣

soooo question:...why do you think you need to be in the 1500-1700 range if you are maintaining fine in the 1800-2000 range? logic would dictate that you would lose weight given your current exercise regimen if you dropped cals...are you looking to lose more weight? or maybe decrease activity levels? if so, then yeah dropping down a few hundred cals would do the trick. but if not, then why try to fix something that ain't broke? I am a good 7 inches shorter than you and i maintain with 2300 cals a day...been at this level for about a year, and my weight has hovered around the same number +/- 3lbs the entire time. i don't count nor manage macros anymore, but a quick glance at MFP show that i'm well over 150g of net carbs every day this week and protein about 80g more or less; as for exercise, from what i've read from your posts we are probably about the same activity expenditure range. you wont "ruin everything" if you keep on top of things and watch whats happening (which sounds like what you are already doing), if you do that you would have plenty of time to adjust and make changes before it all goes to shite. you're doing great! keep it up

10 days left. I'm starting to really worry now! Is there any way to make sure my liver has shrunk before the surgery? I've been doing the pre-op diet, and I've lost weight, but I'm starting to panic that I've done everything right except the odd slip up and it won't be enough! Is this just normal nerves? Is it possible I've lost weight, but the liver has been stubborn and not shrunk?

My hopes are the same it has certainly gotten a lot of attention so perhaps it will help reduce some of the stigma at the very least. I have two friends that are currently on them for weight and they have shockingly low copays. My one friend showed me the pharmacy paper where it said her insurance saved her X dollars and I don’t remember the exact amount but It was well over a thousand.dollars. I follow Dr Weiner too so I learned about them when they were fairly newly being used for weight loss. I also looked into it before i went with my revision, but my insurance does not cover them for weight loss as of when I scheduled my surgery. My family provider’s office is currently working on getting compounded version to offer to their patients and hope to get the price under $200 a month they said but the NP said she would not put off surgery waiting on all insurance to cover it or for them to get a good compound because those things usually take quite a while.

Insurance in Australia doesn’t cover pharmaceuticals in there same way as the US. Prescription meds here are either on the PBS (pharmaceutical benefits scheme which are meds subsidised by the government to keep the costs low - about $31) or not. If you have private health insurance they may cover some of the costs of non PBS drugs but I think it depends on your insurance company and your cover. My insurance would pay the difference in the cost of a prescribed non PBS med and if it was a PBS drug. So if non PBS drug cost me $35, I’d get $4 back. Think ozempic is on the PBS but there have been lots of shortages & there are restrictions on who can be prescribed it (diabetics only I believe). Not sure about the other semaglutides. Wegovy only recently became available here for weight loss - it’s not on the PBS currently.

You go girl!!!!! I love to f**king hear it! In so many other groups I'm in nobody is satisfied with their weight loss! Once I get to 160 baby I am done and then maintenance will start. I am so happy for you!! I too will have boob surgery in April 2025 once I make 1 year! My gift to myself! I have lost a lot of weight really quickly! I can not wait to have those girls out summer 2025 in a halter/tube top! 😂😂😂.

I love that they gave you daily goals. I feel like the drs only gave me a protein goal and it’s 114 grams… and I’m still in the purée stage to needless to say, I am failing that every day. But everything I eat has high protein and I probably am getting about 60 grams a day, so your post made me feel better! I feel like my weight loss is super slow but at least it’s in the right direction and happening! I can’t wait to start getting rid of clothes that don’t fit!

THIS ^^^^ I never dropped a lot of weight in a short time. I averaged 1-2 pounds a week and as long as the scale was moving in a downward direction I was happy. If I hit a stall, I stayed off the scale to preserve my mental health. LOL I kept telling myself slow and steady wins the race. Distracting myself with moving and thrifting. I found that I breezed through clothes sizes way faster. Which was sooo much fun. Almost 1 1/2 years after Gastric Bypass. I'm still losing pounds and inches. Not sure where I will end up and people are telling me to stop but I'm letting my body dictate that. For now. I walk a couple miles a day. That's it. Today I am 5 pounds from goal weight. And I personally know someone who had WLS GB many moons ago and regained the weight back and more. She's a bad reminder of where I don't want to end up. Enjoy the journey and WL and mentally prepare yourself more so, for the maintenance part when it comes. GL

Our surgeons did their very best to educate us in a manner that would be easy for a broad population to understand but sadly WLS is not as simple as restriction driving weight loss. Check out these excerpts from a review on the Endocrinology of the Gut and the Regulation of Body Weight and Metabolism and also a study that tried to predict outcomes of various WLS on (hedonic) hunger and weight loss : The mechanisms behind the success of bariatric/metabolic surgeries remain to be fully elucidated but post-surgical changes in gut-derived hormonal peptides, bile acids (BA), gut microbiota, and vagal tone are suggested to be involved (13, 14). Read more here: https://www.ncbi.nlm.nih.gov/books/NBK556470/ Bariatric surgery engenders weight loss through a number of biological changes, which alter eating behavior and thereby result in a reduced energy intake, which is the main driver for sustained weight loss. Gut hormones, metabolically active polypeptides secreted along the GI tract in response to fasting and eating, act upon CNS centers involved in appetite regulation and generate either orexigenic or anorectic responses. Following bariatric surgery, gut hormone secretion profiles change as a result of the anatomical changes from the surgery. Altered gut hormone secretion profiles are thought to be key mediators for weight loss following RYGB and SG. RYGB results in a marked rise in meal-stimulated circulating levels of anorectic hormones peptide YY 36 (PYY) and glucagon-like peptide 1 (GLP-1); these changes are also seen post-SG but to a lesser extent. SG, in contrast, leads to a significant reduction in the orexigenic hormone ghrelin, by means of removing most of the ghrelin-producing cell population from the stomach. Ghrelin and PYY/GLP-1 act on appetite-regulating areas of the CNS in an opposing manner, stimulating orexigenic or anorectic responses, respectively [16]. Read more here: https://link.springer.com/article/10.1007/s11739-022-03063-0#:~:text=A reduced energy intake%2C as,weight loss following bariatric surgery.

You've gotten some good advice already, but reading your post, a few things stood out to me. These are in no particular order: 1200 calories sounds high for 15 weeks post-op, but if that's what your plan calls for, who am I to question it? I think the bigger question is does this 1200 number include all the alcohol? One of the reasons alcohol is not recommended post bariatric surgery is that it's got a ton of calories and will definitely slow weight loss. The other huge concern on alcohol is that a substantial number of post-op patients develop alcohol use disorder. (Some estimates are as high as 20% or even 30%.) You didn't actually specify how much you drink, but when I see "active social life", I interpret that as "I drink a lot". Maybe try drinking non-alcoholic drinks when you are socializing? If you find that you can't give it up the alcohol, this is a major red flag and you really need to seek help. Taking another approach here, I noticed that you are being more active, which is fantastic! I did want to make sure you knew that changing your activity levels like that (starting a couch to 5k plan), will cause your body to retain more water. This means you may not see the results you are expecting on the scale, even if you are still losing fat. Keep in mind that the your weight is made up of lots of things other than just fat, so variations are normal and are just part of the process. If you are eating less than you burn in a day, then you are 100% burning off fat reserves, even if the scale does not show it. Best of luck.

That's tbd at this point. My current plan is week to week keep a low dose in my system that quiets food noise and gives some suppression that makes it easier to IF, but not so much I'll continue to lose weight.

Because restriction isn't everything. It's easy to eat around your restriction. Restriction doesn't stop hunger, or food noise, or just wanting to eat food that is delicious but calorie dense. I had 20# of "good" regain. I got too thin after WLS, and I didn't like how my body looked at that weight. The normal bounce was good for me, and is what I've found to be my ideal weight. Over the last 3.5 year I slowly gained weight. At 20# over my ideal weight, i didn't like what I saw in the mirror. So I got on a GLP routine and quickly and easily dropped the excess weight. IME, GLP's are going to be revolutionary. I'll likely use them as needed to regulate my weight indefinitely.

Do you track (weigh and measure) everything you eat and drink? Are you following the plan set by your surgeon and dietician? Are you meeting your fluid (alcohol doesn’t count) and origin goal every day? Are you focussed on eating protein rich and nutrient dense foods? Yes, alcohol will slow your weight loss. Did your surgeon really say live your life? Did they mean alcohol? Did they know how much you drink? Did I drink alcohol while I was losing? Yes. I had a gin & tonic at around month 3 (nursed it for hours) and then a couple of single glasses over the next 6 or so months after that. This first 6 months to a year or so are a gift. You want to embrace this time to lose the majority of your weight. So yes, you will have to make some sacrifices but for these few months it’s so worth the lifetime of future benefits. Doesn’t mean you can’t go out and socialise. It just means you have to make best choices you can in whatever situation you’re in and put yourself first. The reset diet of returning to the liquid stage is an old wives tale. You’re not trying to reset your tummy but reset your head, your thinking. You can do this.

Thank you so much for sharing your journey—it’s really encouraging to see how far you’ve come! Your progress is amazing, and it’s a great reminder that the weight loss isn’t linear but still consistent over time. I definitely need to shift my mindset and focus more on my own path, like you said. I love that you're fitting into jeans from when you were 22—that’s such a huge win! Hearing how your weight loss has unfolded over the months gives me hope, especially knowing that you’re still losing at 7+ months post-op. I’ll try to keep that long-term perspective in mind, and stop stressing about how fast or slow the weight is coming off right now. Thanks again for the advice and inspiration! I’m feeling much more positive about my journey now.

There are lots of averages around weight loss and the different surgeries but, trust me, there are a myriad of differences around those averages. And there’s nothing wrong with that. It’s how they get those statistical averages. Everyone loses at their own rate and as with all averages, some will lose more or faster and some will lose less or slower. You’re losing and that is the only thing you should consider. If you are losing any amount, you’re winning. Celebrate every pound you lose. You’ve lost 10kgs! That’s amazing. Congratulations!

Wanted to share my experience and echo the other commenters here. I am 9 weeks out of my gastric bypass and I am right where you are almost exactly weight loss wise- Pre surgery and liquid diet I was 260lb (117kg) After liquid diet in surgery day I was 244lb (110kg) Now after 9 weeks I am 99kg. I haven’t weighed in a few days so I may be a pound or two more but I’m trying to limit myself to only weighing every few days so I don’t hyperfixate. I definitely feel like I’m losing slow- but last week in my bariatric programs’ support group on zoom, almost EVERY patient had that same feeling. It was very validating and most of us were feeling disappointed and impatient. After hearing that it made me feel a lot better. I keep reminding myself that I haven’t even been this weight in a long time and that it’s going to keep going down on its own schedule, when it’s right for my body. Keep fighting the good fight and showing love and kindness to your body and we will all get there.

You must be so incredibly frustrated! Which type of surgery did you get, the sleeve or the bypass? I'm at about 7 weeks post op from getting the sleeve + intestinal revision and my calorie consumption ranges from 500-700/day, with my carb intake less than 35/day and a protein goal of 60/day with fluids of at least 48oz/day. I agree with others - it seems like a good idea, regardless of any advice you get from this forum, to revisit your surgeon. That said, I do believe you hit the nail on the head for one with the alcohol, and secondly I'd ask how many of your calories are coming from carbs. It's ok to include carbs in your diet, but really, this early, unless you are very physically active there isn't cause for many of them. At this stage it's typical to eat no more than 1/2cup - 1 cup of total food per meal, three times a day (or spaced out into 4 meals if needed). That's including your protein, which as someone else said should be the first thing you eat. Another thing about alcohol - it tends to cause dehydration - so you'd need to be consuming even MORE water throughout the day to compensate for that, just like caffeine. If you aren't hitting your hydration goal (PLUS, because of alcohol) then your body will struggle to convert your stored fat into energy, which is what causes most of the weight loss. An example of what my diet looks like at this stage is a single serve yogurt for breakfast (I have been getting the Aikos zero sugar or 2Good ones) - Remember no drinking 30 minutes before or after, and your meal should last at least 20-30 minutes. For lunch I might have a 'tuna melt' - which I make out of 1/3 can of tuna in water, a zero net carb small tortilla, and maybe 1/8 cup of shredded cheese or a low fat string cheese (I cook it folded over like a quesadilla) with maybe 1/8 cup of low fat cottage cheese, then for dinner a serving of one of the many bariatric recipes - there's a ricotta bake (lasagna with no noodles, basically), unstuffed cabbage rolls (Kind of like egg roll filling), or maybe chicken or tuna salad made with low fat mayo and a dab of relish with some cucumber slices/2-4 saltine crackers. I use the free Baritastic App to track my food and fluid intake. Using a tracking app increases weight loss significantly from what I've been told because you can see and understand what exactly you're putting in your body. The good news is that as far as I know, it isn't too late to backpedal and reset yourself! I'm NOT a doctor but my understanding is that if you get off track after weight loss surgery, especially this soon, one way to 'reset' is to go back on a liquid diet for a week or two, with zero-sugar jello, zero sugar pudding, and protein shakes (less than 5g of sugar each) to hit your goals. After that, work your way back up to puree foods for a week, then soft foods for a week. I strongly recommend eyeballing the nutrition information on any shake you think of buying, too, because there are some that are loaded with sugar and have as many as 22g of carbs EACH. After weight loss surgery it's also strongly discouraged to have fried food at all for the first 6 months, and after that maybe once per month. The same goes for sweets and baked goods. I hope this helps, and again - I feel like you should really follow up with your surgeon and a nutritionist! Best wishes!

I'm 6.5 years out and still have a very restrictive sleeve. But I definitely seem to be an outlier. I can eat about 4 oz at a time. For instance a Taco Bell taco or small McDonald's hamburger. But even with small stomach capacity, it's easy to regain. My stomach empties quickly so there's nothing stopping me from eating to excess. I've had to make a conscious effort to maintain a weight I'm happy with. I use both IF and GLP meds. Along with calorie tracking for accountability.

Nice thanks! We shall see as time goes on. Right now I will drop weight as quickly as possible while I still have no appetite and a VERY restrictive pouch!!!

I’m not sure about in AU, but in US medical files sometimes still say history of obesity/Bariatric surgery so that bypasses a lot of issues when trying to explain why you need help losing regain or maintaining weight. Can others please chime in if they have any information about this? But either way if you can swing it, they are effective.

In one of my groups I'm in a licensed therapist on the baratric team stated when we see ourselves gaining again, go back to the beginner basics the way we treated our bodies right after weight loss surgery: Go back to those high protein meals/ veggies getting full on that and not snacking and indulging. That stuck with me.

P.S. I meant I lost weight for 20 MONTHS, not lbs! Can't believe I didn't catch this!